Saw a patient today with a baby boy, 2 months old. She's been breastfeeding 
exclusively up until about 2-3 weeks ago when the baby started getting 
extremely fussy at the breast.  He latches inconsistently well, but she knows 
to take him off and relatch.  She does have some sore nipple issue, which is 
probably latch related.  Upon evaluation the baby seems to have a mild to 
moderate high arched palate.  Other then encouraging her to feed frequently 
and pump milk when necessary is there anything that can be done?  The 
resources seem to say "wait it out, baby will grow into the palate arch."

Thank you for your collective insight.

Lea

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